Healthcare Provider Details

I. General information

NPI: 1477742476
Provider Name (Legal Business Name): RAMAN R TULI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2007
Last Update Date: 01/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10810 DARNESTOWN RD SUITE 202
GAITHERSBURG MD
20878-2675
US

IV. Provider business mailing address

10810 DARNESTOWN RD SUITE 202
GAITHERSBURG MD
20878-2675
US

V. Phone/Fax

Practice location:
  • Phone: 301-424-1780
  • Fax: 301-424-7148
Mailing address:
  • Phone: 301-424-1780
  • Fax: 301-424-7148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberD0019609
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: